{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:57:11Z","timestamp":1792090631320,"version":"4.4.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>\n                      C-MAC\n                      <jats:sup>\u00ae<\/jats:sup>\n                      video laryngoscope (VL) with Macintosh blade has been found to improve Cormack-Lehane (C-L) laryngoscopic view as well as intubating conditions for orotracheal intubation. However, studies done on the performance of C-MAC\n                      <jats:sup>\u00ae<\/jats:sup>\n                      VL for nasotracheal intubation (NTI) are very few in number. Hence, we compared laryngoscopy and intubating conditions between Macintosh direct laryngoscope and C-MAC\n                      <jats:sup>\u00ae<\/jats:sup>\n                      VL for NTI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Sixty American Society of Anesthesiologists Physical Status I, II patients, aged 8\u201318 years, posted for tonsillectomy surgeries under general anaesthesia with NTI were randomised, into two groups. Patients in group 1 were intubated using Macintosh direct laryngoscope and group 2 with C-MAC\n                      <jats:sup>\u00ae<\/jats:sup>\n                      VL. C-L grading, time required for intubation, need for additional manoeuvres and haemodynamic changes during and after intubation were compared between the groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>C-L grade 1 views were obtained in 26 and 29 patients in group 1 and group 2, respectively (86.7% vs. 96.7%). Remaining patients were having C-L grade 2 (13.3% vs. 3.3%). Duration of intubation was less than a minute in group 2 (93.3%). Need for additional manoeuvres (M1\u2013M5) were more in group 1 (97% vs. 77%). M1 (external manipulation) was needed more in group 2 compared to group 1 (53.3% vs. 30%). Magill's forceps alone (M4) and M4 with additional external manipulation (M5) were needed more in group 1 compared to group 2 (60% vs. 16%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      The overall performance of C-MAC\n                      <jats:sup>\u00ae<\/jats:sup>\n                      VL was better when compared to conventional direct Macintosh laryngoscope during NTI in terms of glottis visualisation, intubation time and need for additional manoeuvres.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0019-5049.191676","type":"journal-article","created":{"date-parts":[[2017,1,27]],"date-time":"2017-01-27T02:54:00Z","timestamp":1485485640000},"page":"732-736","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":12,"title":["Does C-MAC\u00ae video laryngoscope improve the nasotracheal intubating conditions compared to Macintosh direct laryngoscope in paediatric patients posted for tonsillectomy surgeries?"],"prefix":"10.4103","volume":"60","author":[{"given":"Vinuta V","family":"Patil","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, DM WIMS Medical College and Hospital, Wayanad, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bala H","family":"Subramanya","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Vijayanagar Institute of Medical Sciences, Ballari Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Kiranchand","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Vijayanagar Institute of Medical Sciences, Ballari Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S Bala","family":"Bhaskar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Vijayanagar Institute of Medical Sciences, Ballari Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivasalu","family":"Dammur","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Vijayanagar Institute of Medical Sciences, Ballari Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251205","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1007\/BF03018415","article-title":"Ease of intubation with the GlideScope or Macintosh laryngoscope by inexperienced operators in simulated difficult airways","volume":"51","author":"Lim","year":"2004","journal-title":"Can J Anaesth"},{"key":"R2-20251205","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/j.1365-2044.2007.05323.x","article-title":"The use of the BERCI DCI Video Laryngoscope for teaching novices direct laryngoscopy and tracheal intubation","volume":"63","author":"Low","year":"2008","journal-title":"Anaesthesia"},{"key":"R3-20251205","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1016\/S0952-8180(02)00457-9","article-title":"A new video laryngoscope-an aid to intubation and teaching","volume":"14","author":"Kaplan","year":"2002","journal-title":"J Clin Anesth"},{"key":"R4-20251205","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.jclinane.2006.01.002","article-title":"Comparison of direct and video-assisted views of the larynx during routine intubation","volume":"18","author":"Kaplan","year":"2006","journal-title":"J Clin Anesth"},{"key":"R5-20251205","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1093\/bja\/aen002","article-title":"Pentax-AWS, a new videolaryngoscope, is more effective than the Macintosh laryngoscope for tracheal intubation in patients with restricted neck movements: A randomized comparative study","volume":"100","author":"Enomoto","year":"2008","journal-title":"Br J Anaesth"},{"key":"R6-20251205","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/BF03027728","article-title":"Early clinical experience with a new videolaryngoscope (GlideScope) in 728 patients","volume":"52","author":"Cooper","year":"2005","journal-title":"Can J Anaesth"},{"key":"R7-20251205","doi-asserted-by":"crossref","first-page":"1560","DOI":"10.1213\/ANE.0b013e3181b7303a","article-title":"A comparison of three video laryngoscopes: The Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients","volume":"109","author":"Malik","year":"2009","journal-title":"Anesth Analg"},{"key":"R8-20251205","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1471-2253-11-6","article-title":"A randomised, controlled crossover comparison of the C-MAC \u00ae video laryngoscope with direct laryngoscopy in 150 patients during routine induction of anaesthesia","volume":"11","author":"Erol","year":"2011","journal-title":"BMC Anesthesiol"},{"key":"R9-20251205","doi-asserted-by":"crossref","first-page":"84","DOI":"10.4314\/gmj.v45i2.68934","article-title":"Cuff inflation to aid nasotracheal intubation using the C-MAC \u00ae videolaryngoscope","volume":"45","author":"Baddoo","year":"2011","journal-title":"Ghana Med J"},{"key":"R10-20251205","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1111\/j.1365-2044.2011.06872.x","article-title":"Performance of the C-MAC \u00ae video laryngoscope in patients after a limited glottic view using Macintosh laryngoscopy","volume":"66","author":"Piepho","year":"2011","journal-title":"Anaesthesia"},{"key":"R11-20251205","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1177\/102490791001700404","article-title":"Comparison of the Karl Storz video laryngoscope with the Macintosh laryngoscope for intubating difficult airway: A manikin study","volume":"17","author":"Lee","year":"2010","journal-title":"Hong Kong J Emerg Med"},{"key":"R12-20251205","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1007\/BF03021066","article-title":"Blind nasotracheal intubation is facilitated by neutral head position and endotracheal tube cuff inflation in spontaneously breathing patients","volume":"50","author":"Chung","year":"2003","journal-title":"Can J Anaesth"},{"key":"R13-20251205","doi-asserted-by":"crossref","first-page":"376","DOI":"10.4103\/1658-354X.87266","article-title":"Use of Airtraq, C-Mac, and Glidescope laryngoscope is better than Macintosh in novice medical students' hands: A manikin study","volume":"5","author":"Kaki","year":"2011","journal-title":"Saudi J Anaesth"},{"key":"R14-20251205","doi-asserted-by":"crossref","first-page":"78","DOI":"10.2344\/0003-3006-55.3.78","article-title":"Nasotracheal intubation using the Airtraq versus Macintosh laryngoscope: A manikin study","volume":"55","author":"Hirabayashi","year":"2008","journal-title":"Anesth Prog"},{"key":"R15-20251205","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1093\/bja\/86.2.275","article-title":"Attenuation of haemodynamic responses to tracheal intubation by the styletscope","volume":"86","author":"Kitamura","year":"2001","journal-title":"Br J Anaesth"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01762628-201660100-00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:52:03Z","timestamp":1787068323000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01762628-201660100-00006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.4103\/0019-5049.191676","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10]]}}}